Physiological Adaptation NCLEX

Question 1 of 5

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:

A. telling his wife to stop cleaning whenever he notices her actionsB. making a baseline record of the time the wife spends cleaningC. decreasing the stimuli in the homeD. helping his wife with the cleaning

Correct Answer: C

Rationale: Reducing environmental stimuli can decrease anxiety driving obsessive-compulsive cleaning, supporting therapy without confronting or enabling the behavior.

Question 2 of 5

A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:

A. Multiple drug use is very uncommonB. People might use more than one drug to enhance the effect or relieve withdrawal symptomsC. Alcohol and barbiturates used together are not dangerous because one is a stimulant and the other is a depressantD. Assessment and intervention are easier with multiple drug use because of the synergistic effect

Correct Answer: B

Rationale: Multiple drug use is common to enhance effects or relieve withdrawal symptoms, complicating assessment and intervention due to varied drug interactions.

Question 3 of 5

A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:

A. the client's body has developed tolerance, requiring more drug to produce the same effect.B. the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.C. addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.D. the client has a dual diagnosis of substance abuse and chronic back pain.

Correct Answer: A

Rationale: Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and disruption of the person's social, family, and work life. The psychological behaviors related to substance use are termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders.

Question 4 of 5

When helping a client gain insight into anxiety, the nurse should:

A. help relate anxiety to specific behaviors.B. ask the client to describe events that precede increased anxiety.C. instruct the client to practice relaxation techniques.D. confront the client's resistive behavior.

Correct Answer: B

Rationale:
To gain insight, the client needs to recognize causal events. The other activities focus on recognition of anxiety.

Question 5 of 5

A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?

A. SeizuresB. Fever >3 daysC. Malignancy >3 monthsD. Illness >6 months

Correct Answer: D

Rationale: Chronic conditions are not considered a contraindication for immunization.

Physiological Adaptation NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN